ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2011
Alcohol exposure and outcomes in trauma patients.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.
What it found
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Who cites it
31 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Acute intoxication and trauma severity in emergency department patients: a systematic review.BMC emergency medicine · 2026Pooled it
- Adolescent trauma and alcohol: increased risk for severe head injury and organ dysfunction-insights from the TraumaRegister DGUEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- A Paradigm for Optimal Management: Traumatic Neck Injuries at a Tertiary Care Centre in South India.Cureus · 2025Article
- Alcohol drinking leads to sex-dependent differentiation of T cells.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Observational
- Impact of alcohol consumption on outcomes and potential of immune biomarkers for postoperative complications in trauma patients.Frontiers in immunology · 2025Article
- The utility of alcohol saliva test strips compared to the breathalyzer in trauma patients in a resource-limited setting.World journal of surgery · 2024Article
- Alcohol is a risk factor for helmet non-use and fatalities in off-road vehicle and motorcycle crashes.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Lactic acid levels are associated with morbidity, length of stay, and total treatment costs in urban trauma patients with lower extremity long bone fractures.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Review
- Evaluating the effect of drunk driving on fatal injuries among vulnerable road users in Taiwan: a population-based study.BMC public health · 2022Article
- IL-27 Promotes Intestinal Barrier Integrity following Ethanol Intoxication and Burn Injury.ImmunoHorizons · 2022Article
- "Can differences in hospitalised mild traumatic brain injury (mTBI) outcomes at 12 months be predicted?"Acta neurochirurgica · 2022Observational
- Association of Blood Alcohol and Alcohol Use Disorders with Emergency Department Disposition of Trauma Patients.The western journal of emergency medicine · 2022Article
- Trauma center risk conditions for blood alcohol-positive and alcohol misuse patients: a retrospective study.International journal of burns and trauma · 2022Article
- Integrated analysis of dysregulated microRNA and mRNA expression in intestinal epithelial cells following ethanol intoxication and burn injury.Scientific reports · 2021Article
- Alcohol and trauma: the influence of blood alcohol levels on the severity of injuries and outcome of trauma patients - a retrospective analysis of 6268 patients of the TraumaRegister DGUScandinavian journal of trauma, resuscitation and emergency medicine · 2021Article
- Anti-inflammatory Effects of Alcohol Are Associated with JNK-STAT3 Downregulation in anDisease markers · 2021Article
- Alcohol use in severely injured trauma patients.Scientific reports · 2020Article
- The influence of alcohol on the outcome of trauma patients: a matched-pair analysis of the TraumaRegister DGUEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society · 2020Article
- A national trauma database analysis of alcohol- associated injuries.Singapore medical journal · 2019Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo determine the injury patterns, complications, and mortality after alcohol consumption in trauma patients.
methodsThe Trauma Registry at an American College of Surgeons (ACS) level I center was queried for all patients with a toxicology screen admitted between 1st January 2002 and 31st December 2005. Alcohol-positive (AP) patients were matched to control patients who had a completely negative screen (AN) using age, gender, mechanism, Injury Severity Score (ISS), head Abbreviated Injury Scale (AIS), chest AIS, abdominal AIS, and extremity AIS. Injuries and outcomes were compared between the groups.
resultsAs many as 5,317 patients had toxicology data, of which 471 (8.9%) had a positive alcohol screen (AP). A total of 386 AP patients were then matched to 386 control (AN) patients. The AP group had a significantly higher mortality than the AN group overall (23 vs. 13%; p < 0.001), and by ISS stratification: ISS < 16 (6 vs. 0.4%; p < 0.001), ISS 16-25 (53 vs. 28%; p = 0.01), and ISS > 25 (90 vs. 67%; p = 0.01). AP patients had a higher incidence of admission systolic blood pressure < 90 (18 vs. 10%; p < 0.001) and Glasgow Coma Scale (GCS) score ≤ 8 (25 vs. 17%; p = 0.002). AN patients had a significantly higher incidence of hemopneumothorax (11 vs. 7%; p = 0.03), while AP patients had a higher incidence of cardiac arrest (8 vs. 3%; p = 0.004). There was no difference in intensive care unit (ICU) and hospital length of stay.
conclusionIn a mixed population of trauma patients, an AP screen is associated with an increased incidence of admission hypotension and depressed GCS score. In this case-matched study, alcohol exposure appeared to increase mortality after injury.
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Registered trials
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